| NPI | 1356516017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL ERNEST VENK President 405-321-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OK 4145) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |